Individual provider Active NPI

Solange Moya Burnette, M.D.

  • Family Medicine Physician
  • Jacksonville Beach, FL
National Provider Identifier
1336349935
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME116481 Issued in FL
Practice address
900 Beach Blvd
Jacksonville Beach, FL 32250
Phone
(904) 396-0000
Fax
(904) 396-5206
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME116481 FL Primary

Addresses

Primary practice location

900 Beach Blvd
Jacksonville Beach, FL 32250

Mailing address

PO Box 40767
Jacksonville, FL 32203-0767
Phone (904) 376-3707

Other practice location 1

5238 Norwood Ave
Ste 16
Jacksonville, FL 32208-5014
Phone (904) 861-1222

Other practice location 2

14011 Beach Blvd Ste 230
Jacksonville, FL 32250-1695
Phone (904) 992-1601

Other names 1

  • Dr. Solange Pitarello Moya Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140220000944 FL Practitioner - Family PracticePractitioner - Internal Medicine 8325180441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

45465 5TH Ave
Callahan, FL 32011-3901
Phone (904) 879-4544

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as apm
Quality
84.21
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME116481FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
Baptist Primary Care Inc Family Medicine CurrentSince Apr 1, 2019 Accepting new patients

Locations

45465 Fifth Ave
Callahan, FL 32011
Phone (904) 879-4544

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

14011 Beach Blvd
Ste 230
Jacksonville Beach, FL 32250
Phone (904) 992-1601

900 Beach Blvd
Jax Bch, FL 32250
Phone (904) 249-0335

Interoperability endpoints

  • Direct secure messaging: sburnette28176@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1336349935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40767",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322030767",
            "telephone_number": "904-376-3707",
            "fax_number": "904-391-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BEACH BLVD",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-396-0000",
            "fax_number": "904-396-5206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5238 Norwood Ave",
            "address_2": "Ste 16",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322085014",
            "country_code": "US",
            "telephone_number": "904-861-1222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14011 Beach Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322501695",
            "country_code": "US",
            "telephone_number": "904-992-1601",
            "fax_number": "904-992-1621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "SOLANGE",
        "middle_name": "MOYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME116481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOLANGE",
            "last_name": "MOYA",
            "middle_name": "PITARELLO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.